Legislation Details

File #: 26-1749    Version: 1
Type: Agreement Status: Agenda Ready
File created: 9/22/2026 In control: Board of Supervisors
On agenda: 10/13/2026 Final action:
Title: Approve and authorize Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health, to increase the contract maximum from $2,669,570 to $2,749,644 for Fiscal Year 2026-2027, and each subsequent renewal, for the continued provision of on-site psychiatrists and a psychiatric medical director for Napa County’s Health and Human Services Agency’s Behavioral Health Medication Clinic. (Fiscal Impact: $80,074 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)
Sponsors: Board of Supervisors
Attachments: 1. Agreement
Date Ver.Action ByActionResultAction DetailsMeeting DetailsVideo
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TO: Board of Supervisors
FROM: Jennifer Yasumoto, Director of Health and Human Services Agency
REPORT BY: Gaby Angeles, Staff Services Analyst II
SUBJECT: Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health

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RECOMMENDATION
title
Approve and authorize Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health, to increase the contract maximum from $2,669,570 to $2,749,644 for Fiscal Year 2026-2027, and each subsequent renewal, for the continued provision of on-site psychiatrists and a psychiatric medical director for Napa County’s Health and Human Services Agency’s Behavioral Health Medication Clinic. (Fiscal Impact: $80,074 Expense; Health and Human Services Agency Fund; Budgeted; Mandatory)

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BACKGROUND
In 2023, Health and Human Services Agency (HHSA) transitioned the provision of medical doctor psychiatry services to a contracted provider staffing model to enhance continuity of patient care and staffing stability. Traditions Behavioral Health (TBH) has delivered such services and provided administrative oversight for all County medication clinic responsibilities, including maintaining a fully staffed clinic with onsite psychiatrists and a psychiatric medical director. This amendment reflects an increase to the contract maximum to account for a 3 percent increase to psychiatrist and psychiatric medical director hourly rates.

Requested Actions:
1. Approve and authorize Amendment No. 3 to Agreement No. 230240B with Traditions Psychiatry Group, PC dba Traditions Behavioral Health, to increase the contract maximum by $80,074 for a new contract maximum of $2,749,644 for Fiscal Year 2026-2027, and each subsequent renewal, for the continued provision of a on-site psychiatrists and a psychiatric medical director for Napa County HHSA’s Behavioral Health Medication Clinic.
FISCAL IMPACT
Is there a Fiscal Impact? Yes Is it currently budgeted? Yes Wher...

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